IOL repositioning using iris sutures: a safe and effective technique

Tomaso Caporossi; Ruggero Tartaro; Fabrizio GS Franco; Francesco Barca; Lucia Finocchio; Daniela Bacherini; Dario Giorgio; Fabrizio Giansanti; Stanislao Rizzo

doi:10.18240/ijo.2019.12.21

International Journal of Ophthalmology (Dec 2019)

IOL repositioning using iris sutures: a safe and effective technique

Tomaso Caporossi,
Ruggero Tartaro,
Fabrizio GS Franco,
Francesco Barca,
Lucia Finocchio,
Daniela Bacherini,
Dario Giorgio,
Fabrizio Giansanti,
Stanislao Rizzo

Affiliations

Tomaso Caporossi: Department of Surgical and Translational Medicine, Eye Clinic, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence 50314, Italy
Ruggero Tartaro: Department of Surgical and Translational Medicine, Eye Clinic, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence 50314, Italy
Fabrizio GS Franco: Department of Surgical and Translational Medicine, Eye Clinic, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence 50314, Italy
Francesco Barca: Department of Surgical and Translational Medicine, Eye Clinic, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence 50314, Italy
Lucia Finocchio: Department of Surgical and Translational Medicine, Eye Clinic, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence 50314, Italy
Daniela Bacherini: Department of Surgical and Translational Medicine, Eye Clinic, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence 50314, Italy
Dario Giorgio: Department of Surgical and Translational Medicine, Eye Clinic, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence 50314, Italy
Fabrizio Giansanti: Department of Surgical and Translational Medicine, Eye Clinic, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence 50314, Italy
Stanislao Rizzo: Department of Surgical and Translational Medicine, Eye Clinic, University of Florence, Azienda Ospedaliera Universitaria Careggi, Florence 50314, Italy

DOI: https://doi.org/10.18240/ijo.2019.12.21
Journal volume & issue: Vol. 12, no. 12
pp. 1972 – 1977

Abstract

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This retrospective non-comparative consecutive case series study was conducted at Azienda Ospedaliera Universitaria Careggi, Florence, Italy and describes a useful intraocular lens (IOL) repositioning technique using iris sutures. In our study, 41 consecutive cases of posteriorly dislocated IOLs were surgically treated between January 2015 and May 2017. Six of the cases were post-traumatic luxations, and 20 patients had pseudoexfoliation syndrome. All the patients underwent pars plana vitrectomy and same IOL repositioning using iris sutures. The mean follow-up was 12.2mo. The mean preoperative best corrected visual acuity (BCVA) was 0.10±0.15 logMAR, whereas the mean postoperative BCVA was 0.08±0.14 logMAR. The mean postoperative BCVA did not change significantly from the preoperative BCVA. The final mean spherical equivalent was -0.44±0.49 SD. Three lenses (7.31%) were found tilted during post-operative follow-up. Two eyes (4.87%) had postoperative cystoid macular edema. No eyes had endophthalmitis, hypotony, retinal or choroidal detachment. The iris fixation technique seems to be a safe and valid option for the management of dislocated IOLs.

Published in International Journal of Ophthalmology

ISSN: 2222-3959 (Print); 2227-4898 (Online)
Publisher: Press of International Journal of Ophthalmology (IJO PRESS)
Country of publisher: China
LCC subjects: Medicine: Ophthalmology
Website: http://www.ijo.cn/gjyken/ch/index.aspx

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